Provider Demographics
NPI:1033972682
Name:ROBINSON, ARIEL BRIANA (RDN, LDN)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:BRIANA
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 LAKEPOINT LN
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30215-2364
Mailing Address - Country:US
Mailing Address - Phone:404-702-6670
Mailing Address - Fax:
Practice Address - Street 1:170 LAKEPOINT LN
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30215-2364
Practice Address - Country:US
Practice Address - Phone:404-702-6670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA133V00000X
DC133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered